Individual
DR. ANDREW MARK BOHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5008
Mailing address
NAVAL MEDICAL CENTER 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102205364
VA
207Q00000X
Family Medicine Physician
Primary
0102205364
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2017
Last updated
10/18/2023
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